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Psychosocial Workload of Swedish Ambulance and Emergency Room Personnel with High Prevalence of Dying, Death and Grieving Relatives. A Descriptive and Comparison Study
Ulf Erland Johansson,
Åsa Katarina Johansson,
Agneta Grimby
Issue:
Volume 3, Issue 5, October 2014
Pages:
56-65
Received:
29 August 2014
Accepted:
24 September 2014
Published:
30 September 2014
Abstract: Frequent caretaking of severely ill, dying, and dead people as well as bereaved close relatives could involve too much stress for emergency personnel to be satisfied with the job situation. Screening for critical aspects for work satisfaction and endurance at ambulance and emergency rooms would provide useful information to the workers themselves, their management, and for pre-hospital acute routines/programs. Two hundred and forty 40-item job-related, postal enquieries on demographical, as psychological, social, economical, and existential work aspects were sent to 26 clinical directors to be assessed by personnel at the ambulance and emergency rooms in Sweden. The response rate was 64%, the majority being nurses and nurse assistants, experiencing a very high, high, or rather high prevalence of severely ill or dead patients at their work place. The hospitals’ frequency of severely ill or dead patients predicted a higher mental workload experience in both ambulance and emergency room personnel. More personnel at the emergency rooms compared with ambulance workers expressed time pressure and were less satisfied with their caretaking, two of three reporting their job to be mentally straining as compared with one of three among the ambulance personnel. Change of work due to heavy workload was reported by one in three. The majority thought they could get used to a job with death and grieving, wellbeing however negatively affected. Still, the majority reported good health and little sick leave due to excessive workload. Several critical factors seemed important for job satisfaction among Swedish ambulance workers and personnel at the emergency rooms. Complaints about psychological stress, physically high workload, physical damage, many working hours, low salary, much shift- and night work, better vacation leave, more resources, too little time for recovery, crisis support and guidance, better routines, more explicit care programs including improved bereavement support for relatives, better possibilities for job control, self-efficacy, unit efficiency, and clearer work duties, and a family-non-conflicting job situation could favour work performance in both groups.
Abstract: Frequent caretaking of severely ill, dying, and dead people as well as bereaved close relatives could involve too much stress for emergency personnel to be satisfied with the job situation. Screening for critical aspects for work satisfaction and endurance at ambulance and emergency rooms would provide useful information to the workers themselves, ...
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Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012
Hiwot A. Hiluf,
Ashenafi D. Ayele,
Gereziher B. Abera,
Hailemariam B. Kahisay,
Kalayou K. Berhe
Issue:
Volume 3, Issue 5, October 2014
Pages:
66-72
Received:
30 August 2014
Accepted:
29 September 2014
Published:
30 October 2014
Abstract: Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.
Abstract: Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilitie...
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Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’
Katja Raitio,
Lauri Kokkinen
Issue:
Volume 3, Issue 5, October 2014
Pages:
73-77
Received:
6 October 2014
Accepted:
21 October 2014
Published:
10 November 2014
Abstract: Nurses are the largest employee group in health care but continue to lack presence in organizational restructuring processes. This study examines whether nurses’ opportunities to be involved in organizational restructuring are associated with their work ability. Respondents of a survey were asked to identify the organizational changes that had transpired at their workplaces in the previous two years, and to evaluate their opportunities to be involved in these changes. They were also asked to evaluate their work ability and to assess certain statements related to their individual resources and the characteristics of their work at the time of the survey. The study shows that exclusion of nurses from health care restructuring processes may cause feelings of injustice and lower commitment to work and thus decrease work ability. Nurses who evaluated their opportunities to be involved in the restructuring as poor were at a two-fold risk of decreased work ability in comparison to nurses who stated that their opportunities to be involved were good. We conclude that the nursing profession should collectively aim to enhance individual nurse's opportunities to take part in the planning and implementation of organizational restructuring in health care. Poor opportunities to be involved in restructuring processes may result in costs not only to individual nurses but also to society at large as successful public health outcomes of health care restructuring are dependent on nurses’ work ability and performance.
Abstract: Nurses are the largest employee group in health care but continue to lack presence in organizational restructuring processes. This study examines whether nurses’ opportunities to be involved in organizational restructuring are associated with their work ability. Respondents of a survey were asked to identify the organizational changes that had tran...
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Effect of Patient Education on Coping, Quality of Life, Knowledge and Self Efficacy of Kidney Recipient Patients
Fathia Ahmed Mersal,
Rasmia Abd-El Sattar Aly
Issue:
Volume 3, Issue 5, October 2014
Pages:
78-86
Received:
18 October 2014
Accepted:
29 October 2014
Published:
10 November 2014
Abstract: Background: kidney transplantation is the best method of treatment for improvement of renal functions in patients with end-stage renal failure. The main aims of patient education following renal transplantation are to help patients acquire the required skills for daily living without problem and to help patients cope with physiological and psychosocial problems. Purpose: The aim was to evaluate effect of patient education on knowledge, coping strategies, quality of life and self efficacy of kidney recipient patients. Subjects and methods: Quazi Experimental design was utilized for conducting the study. Purposive sample of 50 patients undergoing kidney transplantation were included in the study at center Giza outpatient clinics for kidney ( Prof. Dr. Mostafa Ayman) Cairo University, Cairo, Egypt. Data collected through; Patient's assessment and basic information, knowledge assessment sheet, self efficacy Scale, Brief Cope, Short Form Health Survey (SF-36). Results: All dimensions of HRQOL of patients were better after the education program, as compared with that of prior to the intervention. The mean score of self efficacy was improved post intervention. Also the patients had better knowledge and positive coping post intervention. Conclusions/Implications for Practice: patients' education program was enhance patients coping strategies, HRQOL, knowledge and self efficacy. Continuous education should be provided by the healthcare team for patients. An education consultant or education nurse should be trained to work in the transplantation unit.
Abstract: Background: kidney transplantation is the best method of treatment for improvement of renal functions in patients with end-stage renal failure. The main aims of patient education following renal transplantation are to help patients acquire the required skills for daily living without problem and to help patients cope with physiological and psychoso...
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Access to Institutional Delivery of Mothers in Adigrat Town, Northern Ethiopia
Kidane Tadesse,
Addisu Haile,
Michael Tezera,
Alemtsehay Tewele
Issue:
Volume 3, Issue 5, October 2014
Pages:
87-90
Received:
28 October 2014
Accepted:
7 November 2014
Published:
20 November 2014
Abstract: Background: Institutional delivery has a great role in reducing maternal and child mortality. Yet maternal mortality remains a major challenge to health system worldwide. And the Maternal mortality rate in Ethiopia continues to be an acceptable high level. The main aim of this study is to assess the level of access to health institution for maternal delivery and identify the underlying reasons. Methods: We have use community based cross sectional study design, data was collected using structured interview from mothers who have at least one delivery with the last five years. Data was entered and analyzed using SPSS, descriptive statistics were performed results are presented in terms of Frequency and percentage. Result: Majority 179(75.8%) were in an age range of 18 – 35 years. Majority 208(88.1%) of our study subjects were attended antenatal care (ANC) follow up and majority of them 160(77.3%), 38(18.4%) and have followed ANC four times throughout their last pregnancy. Out of 208 respondents attended ANC follow up, 185(89.4%) have received all the necessary in formations, advice on birth preparedness and complication readiness. Of those who have no ANC follow up 28 (11.9%) ,half of them were due to reason that they have no any problem in their pregnancy and the other are due to too far distance home to health facility 5( 17.8)%. Majority, 201(85.2%) were delivered at health institution. The most common reasons for home delivery were normal previous delivery, labor at night, comfort at home, unwelcoming approaches of health workers. Conclusion: Institutional delivery coverage of the study area is good which 85.1% in the last five years. The ANC coverage 88.1% of the area is not proportional with the institutional delivery 85.1% which indicates that there is a gap in health education during ANC follow up especially about birth preparedness and complication readiness.
Abstract: Background: Institutional delivery has a great role in reducing maternal and child mortality. Yet maternal mortality remains a major challenge to health system worldwide. And the Maternal mortality rate in Ethiopia continues to be an acceptable high level. The main aim of this study is to assess the level of access to health institution for materna...
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